Jerkins, Forrest Robert
Jerkins, Forrest Robert is an sole proprietor health care provider with primary practice located at 3360 Us Hwy 27 Suite A, Fruitland Park FL 34731-4141. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jerkins, Forrest Robert can be contacted via phone (352) 728-8881.Contact Information
Primary practice address
3360 Us Hwy 27 Suite A
Fruitland Park FL 34731-4141
Phone: (352) 728-8881
Fax: (352) 728-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10537 | Florida |
Profile Details
| NPI number | 1659420115 |
|---|---|
| LBN Legal business name | Jerkins, Forrest Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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